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New stroke advances at TriStar Skyline give more patients a better recovery

New stroke guidelines and advanced imaging at TriStar Skyline Medical Center are helping doctors look beyond strict time windows, expanding treatment options and improving recovery chances for more patients.

Dennis Cole, MD
May 08, 2026
Pictured is Dr. Dennis Cole talking with a patient in his neurology clinic at TriStar Skyline Medical Center.

In the United States, someone has a stroke every 40 seconds. Most strokes happen when a clot blocks blood flow to part of the brain. When that happens, every minute matters. The good news is stroke care continues to improve, giving more patients a better chance at recovery.

For years, stroke treatment was guided mostly by the clock. If a patient arrived within a certain number of hours, treatment options were clearer. If not, those options narrowed quickly. New recommendations from the American Stroke Association are helping doctors look beyond the clock. With advanced brain imaging, doctors can now see whether brain tissue may still be saved. That means some patients who once may not have qualified for treatment could now have more options.

That shift matters for patients and families. It can mean faster answers, more personalized treatment and, in some cases, access to procedures that restore blood flow and reduce long-term disability. Most importantly, it can mean a better chance to return to daily life.

At TriStar Skyline Medical Center, these advances are already shaping stroke care every day. As a comprehensive stroke center, TriStar Skyline provides a high level of stroke care, with around-the-clock access to advanced imaging, specialized procedures and dedicated neuroscience expertise. In a stroke emergency, patients need rapid evaluation, informed decision-making and immediate access to treatment.

This is where TriStar Skyline continues to raise the standard for stroke care in our community. The hospital’s comprehensive stroke center designation reflects the ability to care for the most serious and complex stroke cases with speed, precision and coordination. Teams can obtain CT imaging within minutes, with rapid interpretation by physicians experienced in stroke care. In addition to standard CT scans, the hospital uses CT angiography to evaluate blood vessels and identify blockages, along with CT perfusion imaging to measure how blood flow is affecting the brain in real time. This helps physicians distinguish between brain tissue that is already injured and tissue that may still be saved, guiding time-sensitive treatment decisions.

These capabilities expand treatment options for patients. In some cases, advanced imaging supports the use of clot-dissolving medication beyond traditional time windows or helps determine when minimally invasive procedures can restore blood flow. For patients with bleeding in the brain, newer minimally invasive techniques may offer additional approaches. When CT imaging does not provide a clear answer, rapid MRI can be used to further evaluate treatment options. Care continues in a dedicated neuroscience intensive care unit, followed by inpatient rehabilitation to support recovery. This coordinated approach allows care teams to act quickly while tailoring care to each patient.

Across TriStar Health, access to stroke expertise is also supported through teleneurology, connecting care teams across the region with neurology specialists in real time to help guide treatment decisions. Together, these capabilities help expand access to high-quality stroke care across Middle Tennessee.

Even with these advances, one message remains the same. Know the signs and call 911 right away. Sudden numbness or weakness, trouble speaking, confusion, vision changes or a severe headache can all be signs of stroke. Early action gives care teams the best chance to use every available tool to protect brain function and improve outcomes.

Stroke care continues to move forward through clinical expertise, technology and coordination across teams. These updated recommendations are expanding what is possible, and at TriStar Skyline, that progress is helping more patients get the care they need when it matters most.

Published:
May 08, 2026
Location:
TriStar Skyline Medical Center

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